PRO PHYSICAL THERAPY
NPI 1457026171
Clinic/Center - Physical Therapy in Benton, KY

Active since August 13, 2021
302 US HIGHWAY 68 W, BENTON, KY 42025(314) 277-9718 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2022, Dec 21, 2021, Dec 9, 2021 and 2 more (5 updates tracked since 2021).

About Pro Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO PHYSICAL THERAPY (NPI 1457026171) is a healthcare organization registered as a physical therapy in Benton, Kentucky and active in the NPI registry since August 2021. The organization lists Jani L Brewer, Owner, as its authorized official.

NPPES Registry Identity

NPI1457026171
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePRO PHYSICAL THERAPY LLC
Location Address302 US HIGHWAY 68 WBenton, KY 42025
Mailing Address302 Us Highway 68 WBenton, KY 42025-7797 · (314) 277-9718
Organization SubpartNo
Authorized OfficialJani L BrewerOwner · (270) 252-7600
Enumeration DateAugust 13, 2021
Last NPPES UpdateDecember 6, 20225 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1457026171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X
302 US HIGHWAY 68 W, Benton, KY 42025

Other Names 1

Doing Business AsPro Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pro Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20220107000711Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pro Physical Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1366629354
302 US HIGHWAY 68 W
Benton, KY 42025
(270) 252-7600
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1144958661
302 US HIGHWAY 68 W
Benton, KY 42025
(270) 252-7600
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1013576859
115 KIANA CT
Paducah, KY 42001
(270) 534-1200
✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Physical Therapy LLC's NPI number?

The NPI number for Pro Physical Therapy LLC is 1457026171. It was assigned to this organization in the NPPES registry on August 13, 2021. The provider is doing business as Pro Physical Therapy.

Where is Pro Physical Therapy LLC located?

Pro Physical Therapy LLC is located at 302 Us Highway 68 W, Benton, KY 42025. The listed phone number is (314) 277-9718.

What is Pro Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Pro Physical Therapy LLC enrolled in Medicare?

Yes. Pro Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

When is Pro Physical Therapy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pro Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pro Physical Therapy LLC, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pro Physical Therapy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Pro Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pro Physical Therapy LLC was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.